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Individual

TELONIA SHANNON NANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH

Contact information

Practice address
1140 BRIARGATE CIR, COLUMBIA, SC 29210-6504
(803) 764-3011
Mailing address
3022 DANFIELD DR, COLUMBIA, SC 29204-3159
(843) 617-7212

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
307682
SC
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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